| NPI | 1518628049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT44189) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL PT44189) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070026373) | |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2025-12-29 |